Because the Native American and Alaska Native people struggle with very high rates of drug abuse, it is crucial that alcohol and drug rehabilitation centers be made accessible to those in Madill, Oklahoma which are culturally appropriate and offer rehabilitation in their language as needed. Since Native Americans and Alaska Natives do sometimes use drugs and alcohol because of cultural issues, it is evident that these issues may be a problem in rehabilitation. If the rehab provider understands these problems, rehab will go much smoother and there will be a significantly better likelihood at complete rehab. For instance, rehab which is offered in the native tongue of Native Americans and Alaska Natives will ultimately result in superior outcomes for these people in Madill, Oklahoma, simply because this will make certain that each phase of the process is comprehended by both the individual in treatment and rehab specialists.